Individual
MRS. YADERIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPSY.
Contact information
Practice address
VILLA DEL REY 4 Q27, CALLE 8, CAGUAS, PR 00725
(939) 419-7084
Mailing address
VILLA DEL REY 4 Q27, CALLE 8, CAGUAS, PR 00725
(939) 419-7084
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6495
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6495
PERMANENT LICENSE
PR
Enumeration date
01/24/2020
Last updated
01/24/2020
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